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1850 Sherry Dr 2013 water heater � ��.,•L`I j�J CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003784 Date 12/05/13 Property Address . . . . . . 1850 N SHERRY DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ----------------------------------- Application desc REPLACE WATER HEATER ----------------------------------- Owner Contractor -------------- ---------------- ___ ---------- PAULSON, STEVEN K DAVID GRAY PLUMBING INC. 1850 NORTH SHERRY DRIVE 6491 POWERS AVENUE ATLANTIC BEACH FL 322334517 JACKSONVILLE 211 E FL 32217 ----------- ---------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 62 . 00 . Valuation Issue Date Expiration Date 6/03/14 -- ---------------- ----- -------- Other Fees STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- . 00 Permit Fee Total 62 . 00 62 . 00. 00 . 00 . 00 Plan Check Total . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsClTY O 904247-5845 P.1 PLUMBING PFRNU ' APPLICATION CITY OF ATLAl°d'I is BEACH Soo Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JoB ADDRES& O ► PE # NEW OR "LAv a-NT INST—AJATI()N: Project Value $ TYPE o- FLr-rUAE OTY TYPE DFF�TJRE ��Y �- BathtubSeptic Tank&Pit Shower Clothes Washer :Dishwasher Shower Drinking FountainThreeSlop-SinkCo Floor Dram Three Compartment Sink . Floor Sink T_ Toilet mdse Bins urinal Kitchen Sisk Vacuum.Breai�rs Laundry Tray mater Connected Appli� .. as grryy Nater Heater C?iher F>xtuaes Nater Treating System RE-PIPE; E P 7 yPE Dr dF'ZXd� C�TY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinkins Fourr ai _ Stop Co Floor Dram -- Three Compartment Sink Toil Floor Sink Fuse Bibs Urinal Kitc}rea Sires Va�unmBrei$k_ers Laundry T ti_ Water Connected Appliances Lavatory Water Heater LavalLavat Faat>lres Water Treatingg System OtherNnSCELLANEO JS: T ons z gat='3 sets Of P'2=) ❑ Sewer Replacement C3Bark Flow Presenter ❑ Grease Interceptor(Tran) 4 ❑ La m S� nkler System=l`7=ber cf Heads ❑ TeIl T 4— SJRWD Wei!Czmpletio,;F'a ,n . Complet,;.d fr�n to be sub ed to the Builth De artn_ent for l el i ertion.=# ❑ Other qO I_ - rm*t becomes roid if wcr:does net cammence within a sx month period or work six suspended or abandoned for smmtbs I hereby certify itis I have reed this application and know the same to be ue and correct. All provisions of lazes and ordinances ova em=��Rorer wil)to caaaplied with whether specinc3 or not_ The telt does sot give authority to violet r��ovis``ia��rs��of any other sial:or local]aA regulation mr ,rtion or the perf c� of cmsw�3°n � t.c�lJ��V�J(�� Phone Nttmber (�/ P r--7er ty Owners Name , 1E�.�1L /,J Plimabing Compang Davi J Gray Plumbing, Inc. Oar.=Phone �'�T >>' '� Far.----��'. 8850 Corpo—its SoState Zip Co. City. License Holder(Print): State Cert�catson/Regsu�on d/ rr I/ 1'Votasrz2-4 Sp-ptare of License Holder Swom and subscribed before me dayofwembW 20 Signage of NotaryP-ab1ic Notary Public State of Florida LaSheica Wilson ,per My Commission EE050523 a*cf Expires 01/04/2015 -